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Metal bar prevents phantom limb motion: Case study of an amputation patient who showed a profound change in the awareness of his phantom limb 

Authors: Noritaka Kawashima ab; Tomoki Mita a
Affiliations:   a Department of Rehabilitation for the Movement Functions, Research Institute, National Rehabilitation Center for the Persons with Disability, Tokotozawa, Saitama, Japan
b Japanese Society for Promotion of Science, Tokyo, Japan
DOI: 10.1080/13554790902950442
Publication Frequency: 6 issues per year
Published in: journal Neurocase, Volume 15, Issue 6 December 2009 , pages 478 - 484
First Published: December 2009
Formats available: HTML (English) : PDF (English)
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Abstract

This case report describes an amputee (patient A.S., a 60-year-old male forelimb amputee) who had an extraordinary experience with a phantom limb. He complained that he could not move the wrist of his phantom limb because a metal bar was perceived to be grasped by the hand. As a solution for removing the metal bar, we invited the patient to undergo mirror reflection-induced visual feedback therapy. The patient reported that the metal bar previously grasped by his hand was successfully removed from the phantom during the course of therapy. Interestingly, this experience was accompanied by profound changes in the EMG modulation in the residual wrist muscles. In this article, the possible mechanisms underlying this interesting phenomenon will be discussed.
Keywords: Phantom limb; Kinesthesia; Mirror; Visual feedback; Electromyography
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